Individual
JOSHUA ALBERTO SHIOSAKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(301) 873-3239
Mailing address
331 VIEW AVE, FAIRMONT, WV 26554-4723
(301) 873-3239
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1781
WV
Other
Enumeration date
02/24/2013
Last updated
02/24/2013
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